MAGELLAN HEALTH SERVICES OF ARIZONA, INC. (NPI# 1124145842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124145842 |
| Entity Type | Organization |
| Organization Name | MAGELLAN HEALTH SERVICES OF ARIZONA, INC. |
| Other Organization Name | MARICOPA - UPC |
| Practice Address |
903 N 2nd St Phoenix AZ 85004-1906 |
| Mailing Address |
4129 E Van Buren St Suite 150 Phoenix AZ 85008-6939 |
| Practice Telephone | 6024167600 |
| Mailing Telephone | 8006545465 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-09-20 |
| Authorized Official Name | DR. CHRIS ADAIR CARSON (CEO) |
| Authorized Official Telephone | 6027978333 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
BH2691 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 127960 | 05 |
| Other Name | Type Code |
|---|---|
| Maricopa - UPC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598880205 | Magellan Health Services of Arizona, Inc. | Case Management | 702 W Dunlap Ave, Phoenix, AZ 85021-3529 | 2007-03-20 |
| 1518082569 | Magellan Health Services of Arizona, Inc. | Case Management | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2007-03-20 |
| 1750405064 | Magellan Health Services of Arizona, Inc. | Case Management | 5022 N 54th Ave, #4, Glendale, AZ 85301-7531 | 2007-03-19 |
| 1689798043 | Magellan Health Services of Arizona, Inc. | Case Management | 7020 N 56th Ave, Glendale, AZ 85301-2516 | 2007-03-19 |
| 1417071721 | Magellan Health Services of Arizona, Inc. | Case Management | 1616 E Roeser Rd, Phoenix, AZ 85040-3336 | 2007-03-19 |
| 1184748493 | Magellan Health Services of Arizona, Inc. | Case Management | 3640 W Osborn Rd, #1, Phoenix, AZ 85019-4006 | 2007-03-19 |
| 1629192992 | Magellan Health Services of Arizona, Inc. | Case Management | 4160 N 108th Ave, Phoenix, AZ 85037-5468 | 2007-03-19 |
| 1033233341 | Magellan Health Services of Arizona, Inc. | Case Management | 6330 E Thomas Rd, #200, Scottsdale, AZ 85251-7057 | 2007-03-19 |
| 1801910278 | Magellan Health Services of Arizona, Inc. | Case Management | 1225 E Broadway Rd, #240, Tempe, AZ 85282-1525 | 2007-03-19 |
| 1982728267 | Magellan Health Services of Arizona, Inc. | Case Management | 1300 N Central Ave, Phoenix, AZ 85004-1722 | 2007-03-19 |
| Street Address |
903 N 2ND ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588657662 | Tracy Sandford Poston | Physician Assistant | 903 N 2nd St, Phoenix, AZ 85004-1906 | 2005-08-24 |
| 1992100887 | Amanda Kristen Johnson-wo | Physician Assistant | 903 N 2nd St, Phoenix, AZ 85004-1906 | 2014-11-04 |
| 1265740880 | Erich Brueschke | Physician Assistant | 903 N 2nd St, Phoenix, AZ 85004-1906 | 2010-09-16 |
| 1245447820 | Paige M Hamilton | Physician Assistant | 903 N 2nd St, Phoenix, AZ 85004-1906 | 2007-05-16 |
| 1922184332 | Lisa Frances Sims | Registered Nurse | 903 N 2nd St, Phoenix, AZ 85004-1906 | 2006-10-27 |
| 1316950298 | Robert G Williamson | Psychiatry & Neurology | 903 N 2nd St, Phoenix, AZ 85004-1906 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473133 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 2860 W Peoria Ave Ste B, Phoenix, AZ 85029-5218 | 2020-09-28 |
| 1700493343 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 3131 E Thunderbird Rd Ste 73, Phoenix, AZ 85032-5642 | 2020-09-28 |
| 1366059982 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 5259 W Indian School Rd Ste 100, Phoenix, AZ 85031-2651 | 2020-09-28 |
| 1376154625 | Memd Provider Network LLC | Clinic/Center | 6910 E Chauncey Ln Ste 220, Phoenix, AZ 85054-5162 | 2020-08-11 |
| 1801431465 | Us Careways PC LLC | Clinic/Center | 3800 E Sky Harbor Blvd # L-r12, Phoenix, AZ 85034-3712 | 2019-11-07 |
| 1245886795 | Banner Urgent Care Services, LLC | Clinic/Center | 1 N Central Ave Ste 105, Phoenix, AZ 85004-4416 | 2019-08-12 |
| 1972069417 | Honorhealth Urgent Care, LLC | Clinic/Center | 1515 E Bethany Home Rd Ste 120b, Phoenix, AZ 85014-2495 | 2019-02-20 |
| 1649736380 | Honorhealth Urgent Care, LLC | Clinic/Center | 18404 N Tatum Blvd Ste 101c, Phoenix, AZ 85032-1511 | 2019-02-19 |
| 1063984680 | Banner Urgent Care Services, LLC | Clinic/Center | 1940 W Glendale Ave, Phoenix, AZ 85021-7840 | 2018-12-20 |
| 1750853388 | Banner Urgent Care Services, LLC | Clinic/Center | 3247 E Bell Rd Ste 1, Phoenix, AZ 85032-2707 | 2018-12-20 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on MAGELLAN HEALTH SERVICES OF ARIZONA, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.